Claim total
$30,911.96
base $155.66 · payer covered $14,890.78
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2017-02-05
- Stop
- 2017-02-05
The parties
- Patient
- patient Ardis Harvey
- Provider
- provider Dusti Satterfield
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Humana
Record id
06f1d056-d0e6-cc8e-e8f3-d00162f5b439